Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary Catherine Garner

Abstract

The Amputation Coalition indicates that there were approximately 2 million people with limb loss in the United States primarily caused by peripheral vascular disease in 2019. Those with amputation related to vascular disease have a 5-year mortality rate. The gap in clinical practice at the facility used for this project is that there were no comprehensive program guidelines for nurse practitioners and other health care professionals working with people who are at risk for vascular intervention or limb loss. The practice-focused question was answered that an interprofessional team did develop a prototype for a comprehensive peripheral vascular program that serves as guidance for providers, staff, and patients. The framework utilized for this project followed the clinical scholar model developed by Strout and the Walden University Clinical Practice Guideline Manual. The guideline created for a comprehensive peripheral vascular program aligned with the American Heart Association 2016 Peripheral Arterial Disease guidelines. An expert panel of three key stakeholders, two vascular surgeons and a nurse practitioner, used the Appraisal of Guidelines Research and Evaluation II model. Consensus was achieved on the new practice guidelines at 66% to 33%, agree to strongly agree and inversely for 10 to 12 items consecutively, one topic was doubled, and two were split for partially agree, agree, and strongly agree. The creation of a comprehensive peripheral vascular program practice clinical guideline for nurse practitioners and other health care professionals may improve the care for the population at risk for peripheral vascular disease. The positive social change is the promotion of patient education and self-management of peripheral vascular disease, leading to fewer amputations and an improved quality of life.

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